Results 1 to 7 of 7

Surgery coding question

  1. #1
    Default Surgery coding question
    Exam Training Packages
    I have an op note where a physician performs a Hysteroscopy resection of submucosal fibroids then due to excessive bleeding the physician had to perform a TAHBSO. The physician clearly documents that we had completed the resection of the fibroids without difficulty and instantaneously, a large amount of heaving bleeding was noted, attemptes made to control bleeding unsuccessful and elected to proceed with TAHBSO.

    Does anyone have any advice on how to code this procedure?
    I was thinking: 58150
    58561-51 or 59

    Thanks in advance,

    Dawn
    [EMAIL="dawns@whp.com"]
    Dawn Smith, CPC
    [email]dsmith28@iuhealth.org

  2. #2
    Default
    There are no edits to bill for the procedures, so you can bill the 58561 with the original code of bleeding and add v64.41 that turned to open procedure.
    58150
    58561 -59-51
    it depends on the Payer to add the modifier 59

  3. Default Hysteroscopy
    I have an OP Report and in the body of the OP Report the Dr. states that the Hysteroscopy was inserted then it was removed then a D&C was done then the Hysteroscopy was reinserted.

    I am coding the Hysteroscopy as a Diagnostic Hysteroscopy because it does not state that the D&C was done by Hysteroscopy.




    Thanks
    Last edited by KimberlyLanier; 09-24-2008 at 03:42 PM.

  4. Default Hysteroscopy
    Hysteroscopy

    --------------------------------------------------------------------------------

    I have an OP Report and in the body of the OP Report the Dr. states that the Hysteroscopy was inserted then it was removed then a D&C was done then the Hysteroscopy was reinserted.

    I am coding the Hysteroscopy as a Diagnostic Hysteroscopy because it does not state that the D&C was done by Hysteroscopy.

    I know that usually when a Hysteroscopy and a D&C is done by Hysteroscopy the Dr. will state that it is done by Hysteroscopy. I do Anesthesia Coding and would like to know the answer.
    Last edited by KimberlyLanier; 09-24-2008 at 03:43 PM.

  5. #5
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Year: 2003

    Issue: May

    Pages: 19

    Title: Surgery/Female Genital System, 58558, 58120 (Q&A)

    Body: Coding Consultation:Questions and Answers

    Question

    How should a hysteroscopy followed by a polypectomy and a D&C (not performed through the scope) be reported? The physician dilates the internal cervical os and a hysteroscope is inserted in the endometrial cavity. An examination through the scope is performed. After the scope is removed, multiple polypectomies are performed, as well as gentle curettage of the cavity walls. Should both codes 58558, Hysteroscopy surgical; with sampling (biopsy) of endometrium and/or polypectomy with or without D&C, and 58120, Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical), be reported? Please advise on the correct coding.

    AMA Comment

    Hysteroscopy followed by a polypectomy and D&C, which are not performed through the hysteroscope, should be reported with code 58558, Hysteroscopy surgical; with sampling (biopsy) of endometrium and/or polypectomy with our without D&C. It would not be appropriate to separately report codes 58558 and 58120, as code 58558 includes both.

  6. Default Hysteroscopy
    Mbort,

    Even if the Dr. states that Hysteroscopy was done, removed then the D&C was done and then the Hysteroscopy was reinserted? But no polypectomy was done? It should be coded as 58558?

    Thanks
    Kim

  7. Default D&C post elective abortion.
    Patient had an elective abortion four days ago and now presents with bleeding and retained products of conception. I used 635.11 for the dx., however what CPT procedure and ICD-9-CM procedure codes should be used? (Suction D&C).

Similar Threads

  1. Surgery Coding Question
    By orthobiller2017 in forum Orthopaedics
    Replies: 0
    Last Post: 11-05-2014, 02:30 PM
  2. Surgery coding question
    By CLBLUE in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 09-13-2012, 05:02 PM
  3. surgery coding question
    By asasands in forum General Surgery
    Replies: 2
    Last Post: 04-20-2010, 11:05 AM
  4. gyn ca surgery coding question
    By hotmailmary@hotmail.com in forum OB/GYN
    Replies: 0
    Last Post: 01-14-2010, 08:32 PM
  5. Surgery coding question
    By ltozier in forum Family Practice
    Replies: 0
    Last Post: 02-14-2008, 02:19 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.